The Efficacy of Different Types of Stretching on Range of Motion, Pain and Function in Elbow Limitation

Not Applicable

Completed

• Conditions: Postoperative Pain; Elbow Fracture; Stiffness of Elbow, Not Elsewhere Classified
• Interventions: Other: Static Stretching; Other: PNF stretching; Other: Exercise; Other: Cold Therapy

• Registration Number: NCT03161782
• Lead Sponsor: Istanbul University

Brief Summary

The aim of the study is to compare the efficacy of Proprioceptive Neuromuscular Facilitation (PNF) stretching and static stretching on range of motion (ROM), pain and function in elbow limitation.

Detailed Description

To compare the efficacy of PNF stretching and static stretching on ROM, pain and function in elbow limitation, forty voluntary patients with elbow limitation, aged between 18-55 years will be randomly divided into two groups: PNF Stretching group and Static Stretching group. PNF stretching will be combined with exercise and cold application in PNF Stretching group, static stretching will be combined with exercise and cold application in Static Stretching group, will be applied for 12 sessions. The patients will be assessed before and after six-week treatment. The pain on activity, at rest and at night will be assessed with Visual Analog Scale (VAS). ROM will be assesed with universal goniometer. The functional status will be evaluated by Disabilities Arm, Shoulder and Hand (DASH). Kinesiophobia and quality of life will be assessed with Tampa Scale for Kinesiophobia and Short Form-12, respectively. The Global Rating of Change will be used to evaluate patient satisfaction.

Study Timeline

• Study Start: 2017-01-01
• Primary Completion: 2017-05-15
• Study First Submitted: 2017-05-18
• Study First Submitted QC: 2017-05-18
• Study First Posted: 2017-05-22
• Study Completion: 2017-07-25
• Status Verified: 2018-02
• Last Update Submitted: 2018-02-22
• Last Update Posted: 2018-02-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

Subjectswill be included with

• Aged between 18 and 65 years
• Elbow fracture in the six months before the study
• Elbow limitation in flexion or extension
• Being volunteer to participate
• Fractures should be managed with conservatively or surgically

Exclusion Criteria

• Malunion or Nonunion Fracture
• Occurrence of complex regional pain syndrome, peripheric nerve injury, heterotopic ossification, myositis ossification or post-traumatic ankylosing
• Non-healing wound or infection
• Previously received physiotherapy for elbow limitation
• Having any cardiovascular diseases, neurological disorders, rheumatic diseases or psychiatric diseases
• Could not adjust to treatment

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Static Stretching group	Static Stretching	Each subject in Static Stretching group will receive a treatment protocol consisting of static stretching, cold therapy and exercise.
PNF Stretching group	PNF stretching	Each subject in PNF Stretching group will receive a treatment protocol consisting of PNF stretching, cold therapy and exercise.
PNF Stretching group	Cold Therapy	Each subject in PNF Stretching group will receive a treatment protocol consisting of PNF stretching, cold therapy and exercise.
Static Stretching group	Cold Therapy	Each subject in Static Stretching group will receive a treatment protocol consisting of static stretching, cold therapy and exercise.
PNF Stretching group	Exercise	Each subject in PNF Stretching group will receive a treatment protocol consisting of PNF stretching, cold therapy and exercise.
Static Stretching group	Exercise	Each subject in Static Stretching group will receive a treatment protocol consisting of static stretching, cold therapy and exercise.

Primary Outcome Measures

Name	Time	Method
Functional Status	After the six-week intervention	The functional status of the patients will be evaluated by The Disabilities of the Arm, Shoulder and Hand (DASH).

Secondary Outcome Measures

Name	Time	Method
Active Range of Motion (AROM) Assessment	1-month follow up	The elbow's and forearm's AROM, including flexion, extansion, supination, pronation will be measured described by the American Academy of Orthopaedic Surgeons (AAOS) using a universal goniometer. The process will be repeated three times in each direction, with the the average value recorded.
Functional Status	1-month follow up	The functional status of the patients will be evaluated by The Disabilities of the Arm, Shoulder and Hand (DASH).
Pain Intensity	1-month follow up	Pain intensity of the patients at rest, during activity, and at night will be assessed by Visual Analog Scale.

Trial Locations

Locations (1)

Istanbul University; 🇹🇷 Istanbul, Turkey